CA2025519C - Free flow prevention system for infusion pump - Google Patents

Free flow prevention system for infusion pump Download PDF

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Publication number
CA2025519C
CA2025519C CA002025519A CA2025519A CA2025519C CA 2025519 C CA2025519 C CA 2025519C CA 002025519 A CA002025519 A CA 002025519A CA 2025519 A CA2025519 A CA 2025519A CA 2025519 C CA2025519 C CA 2025519C
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Canada
Prior art keywords
clamp
tubing
slot
clamping arms
arms
Prior art date
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CA002025519A
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French (fr)
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CA2025519A1 (en
Inventor
Larry H. Dodge
Stanford C. Stone
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Graseby Medical Ltd
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Graseby Medical Ltd
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Publication date
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Publication of CA2025519A1 publication Critical patent/CA2025519A1/en
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M39/00Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/22Valves or arrangement of valves
    • A61M39/28Clamping means for squeezing flexible tubes, e.g. roller clamps
    • A61M39/286Wedge clamps, e.g. roller clamps with inclined guides
    • A61M39/287Wedge formed by a slot having varying width, e.g. slide clamps
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M39/00Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/22Valves or arrangement of valves
    • A61M39/28Clamping means for squeezing flexible tubes, e.g. roller clamps
    • A61M39/281Automatic tube cut-off devices, e.g. squeezing tube on detection of air
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/142Pressure infusion, e.g. using pumps
    • A61M5/14212Pumping with an aspiration and an expulsion action
    • A61M5/14228Pumping with an aspiration and an expulsion action with linear peristaltic action, i.e. comprising at least three pressurising members or a helical member

Abstract

A free flow prevention system for preventing free flow of fluid through IV tubing (12) when the tubing (12) is disconnected from an infusion pump (10). A flexible clamp (20, 20A) is provided having a pair of clamping arms (24, 24A), which define a variable width slot (26, 26A) for receiving the IV tubing (12). The IV tubing (12) may be moved along the slot (26, 26A) between a first position (28) (Figure 4) wherein the width of the slot (26, 26A) is sufficient to permit the clamp (20, 20A) to be positioned longitudinally along the IV tubing (12), and a second position (30) wherein the width of the slot (26, 26A) is normally less than the width of the slot (26, 26A) at the first position (28). The clamping arms (24, 24A) are resiliently biased to a closed position (Figure 2) wherein the IV tubing (12) is squeezed when in its second position (30) to close the lumen of the tubing (12) to prevent fluid flow. A clamp-receiving passageway (18, 188) and clamp-opening wedge (22) are provided on the infusion pump (10). The clamp-opening wedge (22) is movable relative to a clamp (20, 20A) received in the passageway (18, 18B) to an operating position (Figure 3), wherein the wedge (22) moves the arms (24, 24A) of the flexible clamp (20, 20A) against their bias to an open position (Figure 3) wherein the lumen of the IV tubing (12) is allowed to open to permit fluid flow during operation of the pump (10).
4:1.22

Description

FREE FLOW PREVENTION SlLSTEM
FOR INFUSION PUMP
The invention relates generally to infusion pumps and IV tubing sets for the controlled delivery of fluids to a patient, and mare particularly to a free flow prevention system for preventing free flow of fluid through the IV
tubing when the tubing is disconnected from the infusion pump.
Background of the Invention Infusion pumps are typically used to regulate the delivery of fluids, which may include potentially hazardous drugs, to a patient with a high degree of accuracy.
Ordinarily, a roller clamp is moved to a closed position to stop flow through IV tubing before the tubing is removed from an infusion pump in order to prevent a situation that is sometimes referred to as °'free flow°' or '°fluid runaway", that is, where the fluid is free to flow rapidly through the IV tubing without regulation by the infusion pump.
Such roller clamps are effective in preventing free flow only when they are manually moved to their closed positions, and free flow or fluid runaway may occur if the roller clamp is left in its open position. As a result, an automatic free flow prevention system is now desired wherein fluid runaway is prevented regardless of whether the pump operator remembers to close a roller or slide clamp.
One approach is described in co-assigned U.S.
Patent No. 4,585,441 wherein an interlock is provided to prevent removal of the IV set unless fluid flow through the tubing is stopped. The pump operator must manually close a clamp to stop fluid flow through the tubing before the infusion pump will permit removal of the IV set.
Another approach is to provide a permanent clamp on the infusion pump itself from which the IV set must be _2_ manually disconnected during removal of the IV set from the infusion pump. That approach reduces the risk of fluid runaway because the permanent clamp reduces the possibility of thoughtless removal of the IV set from the infusion pump. The act of disconnecting the IV set from the permanent clamp tends to remind the operator of the need to close the roller or slide clamp on the IV set: however, it does not eliminate the risk that the operator will remove the IV set without closing a clamp.
Other approaches include employing slide clamps to prevent or reduce the risk of removing the IV set without closing a clamp. U.S. Patent Nos. 4,586,691;
4,589,043 and 4,818,190 describe employing slide clamps to prevent fluid runaway during removal of IV sets from infusion pumps.
Summary of the Invention The invention provides a free flow prevention system adapted for preventing free flow of fluid through IV
tubing when the tubing is disconnected from an infusion pump. The system is designed to be easy to use, and to automatically close the IV tubing to fluid flow when the tubing is disconnected from the infusion pump.
Generally, the free flow prevention system comprises IV tubing having a lumen through which fluid may be pumped for administration to a patient, and a flexible clamp associated with the IV tubing. A pumping assembly is provided that includes pumping means for pumping fluid through the IV tubing, and releasable holding means for holding the IV tubing during operation of. the pumping assembly.
The flexible clamp has a pair of clamping arms defining a variable width slot along which the IV tubing may be moved between a first position wherein the width of the slot is sufficient to permit the clamp to be positioned longitudinally along the IV tubing, and a second position wherein the width of the slot is normally less than the _3-width of the slot at the first position. The clamping arms are resiliently biased to a closed position wherein the IV
tubing is squeezed when in its second position to close the lumen to prevent fluid flow, and are movable against the bias to an open position wherein the lumen of the IV tubing is allowed to open so that flow through the lumen is permitted.
Clamp-receiving means axe provided on the pumping assembly for. releasably receiving the flexible clamp, and releasable clamp-opening means are provided for separating the clamping arms of the flexible clamp and moving the arms from their closed position to the open position before operation of the pumping assembly. The clamp-receiving means and clamp-opening means are mounted on the pumping assembly for movement of the clamp-opening means relative to the flexible clamp received in the clamp-receiving means between an unloading position and an operating position.
In the unloading position, the clamp-opening means does not hold the arms of the flexible clamp in their open position.
In the operating position, the clamp-opening means moves the arms of the flexible clamp to their open position and holds the arms in the open position.
Other features will be in part apparent and in part pointed out hereinafter.
_B_rie_f Description of the Drawing The invention will be further described with reference to the drawing wherein corresponding reference characters indicate corresponding parts throughout the several views of the drawing, and wherein:
Fig. 1 is a perspective view of an infusion pump incorporating the free flow prevention system of the invention;
Fig. 2 is a cross-sectional view substantially along line 2-2 of Fig. 1, showing a flexible clamp of the free flow prevention system in its closed position;
Fig. 3 is a cross-sectional view similar to fig.
2, showing the flexible c7.amp in its open position;

Fig. 4 is an enlarged bottom plan view of the flexible clamp of Figs. 2 and 3;
Fig. 5 is a bottom plan view similar to Fig. 4, illustrating another embodiment of the flexible clamp; and Fig. 6 is a cross-sectional view similar to Figs.
2 and 3 showing a second embodiment of a clamp-receiving mechanism of the invention.
Presently Preferred Embodiments The infusion pump designated in its entirety by the reference numeral 10 in Fig. 1 may be of the general type described in U.S. Patent Nos. 4,236,880; 4,277,226 and 4,322,201. Such infusion pumps are designed for use with IV
tubing 12 that includes a pumping cassette having flexible walls defining fluid pumping chambers which may be compressed to .regulate fluid flow through the IV tubing 12.
Infusion pumps of this type are being sold by AVI, Inc., a subsidiary of Minnesota Mining and Manufacturing Company of St. Paul, Minnesota. The infusion pump 10 may alternatively be of the type commonly referred to as a "linear peristaltic pump", that is, pumps that selectively squeeze straight portions of the IV tubing to regulate or pump fluid through the TV tubing. In any event, the infusion pump 10 regulates fluid flow through the lumen of IV tubing 12 for administration to a patient.
The infusion pump 10 includes a pumping assembly shown generally at 14 employing conventional pumping means for pumping fluid through the IV tubing 12, and a releasable holding means or assembly 16 for holding the IV
tubing 12 during operation of the pumping assembly 14.
Clamp-receiving means, such as the walls forming an elongate passageway 18 having an open end 19, are provided on the releasable holding means 16 of the pumping assembly 14 for releasably receiving a flexible clamp 20 associated with the IV tubing 12. And releasable clamp-opening means 22 are provided for separating the clamping arms 24 of the flexible clamp 20 and moving the arms 24 from their closed position (Fig. 2) to the open position (Fig. 3) before operation of the pumping assembly 14 so that fluid can flow through the IV tubing 12.
The clamp-receiving means 18 and clamp-opening means 22 are mounted on the infusion pump 10 for movement of the clamp-opening means 22 relative to a flexible clamp 20 received in the clamp-receiving means 18 between an unloading position (Fig. 2) and an operating position (Fig.
3). In the unloading position (Fig. 2), the clamp-opening means 22 does not hold the arms 24 of the flexible clamp 20 in their open position so that flow through the lumen of the IV tubing 12 is prevented before unloading the IV
tubing set from the infusion pump 10. When the clamp-receiving means 18 arid clamp-opening means 22 are moved from the unloading position to the operating position (Fig. 3), the clamp-opening means 22 moves the arms 24 of the flexible clamp 20 to their open position and holds the arms 24 in the open position.
The flexible clamp 20 (Fig. 4) includes at least a pair of the clamping arms 24, which define a variable width slot 26. The IV tubing 12 may be moved along the slot 26 between a first position 28 (Fig. 4) wherein the width of the slot 26 is sufficient to permit the clamp 20 to be positioned longitudinally along the IV tubing 12, and a second position 30 wherein the width of the slot 26 is normally less than the width of the slot 26 at the first position. The clamping arms 24 are resiliently biased to a closed position (Figs. 2 and 4) wherein the IV tubing 12 is squeezed when in its second position 30 (Fig. 2) to close the lumen to prevent fluid flow. The clamping arms 24 are movable against the bias to an open position (Fig. 3) wherein the lumen of the IV tubing 12 is allowed to open so that flow through the lumen is permitted.
As shown in Figs. 2 and 3, the releasable holding means 16 is preferably in the form of a door assembly 16 including an IV pumping cassette-receiving block 32 of the type described in U.S. Patent No. 4,236,880, and a door 34 pivotably mounted on the cassette-receiving block 32 by a hinge. As described in U.S. Patent ~Io. 4,236,880, the door assembly 16 may be manually moved between a loading and unloading position (Fig. 2) and an operating position (Fig.
3) by turning a knob 36 extending laterally outwardly from a side of the infusion pump 10. In the loading and unloading position (Fig. 2), the door assembly 16 is spaced from the main body 38 of the infusion pump 10 a distance D-1 sufficient to permit the door 34 to be pivoted outwardly for loading and unloading the pumping cassette of the IV tubing 12. When the door assembly 16 is moved to the operating position (Fig. 3), the door assembly 16 is moved toward the main body 38 of the infusion pump 10 to bring the pumping cassette into position For proper operation of the pistons of the pumping means.
The clamp-opening means 22 preferably includes a wedge 22 mounted on the main body 38 of the pumping assembly 14, and the clamp-receiving passageway 18 is preferably formed in the cassette-receiving block 32 of the door assembly 16. For example, a guide block 37 may be provided on the cassette-receiving block 32 to form the passageway 18. When the door assembly 16 is in its loading and unloading position (Fig. 2), the IV tubing 12 may be loaded into or unloaded from the pumping assembly 14, and the wedge 22 and flexible clamp 20 are in their unloading position after the clamp 20 is fully inserted in the clamp-receiving passageway 18. And when the door assembly 16 is moved to the operating position (Fig. 3), the flexible clamp 20 is carried along in the clamp-receiving passageway 18 toward the wedge 22 to the operating position, with at least a portion the wedge 22 positioned between the clamping arms of the flexible clamp to move the clamping arms 24 to their open position.
A projecting portion or pin 38 preferably extends downwardly from the bottom edge 39 of,the door 34. The pin 38 is adapted for releasably retaining the flexible clamp 20 in the elongate passageway 18 after the clamp 20 is ~~~~t~.~f:~.~
_7_ manually inserted in the passageway 18 and the door 34 is closed against the cassette-receiving block 32. It will be observed that the pin 38 does not prevent removal of the clamp 20 when the door 34 is open. The pin 38 engages a ledge 40 extending laterally outwardly from the inner end of one of the clamping arms 24 to hold the clamp 20 against longitudinal movement (downwardly in Figs. 2 and 3) when the wedge 22 separates the clamping arms 24 of the clamp 20.
The flexible clamp 20 preferably comprises a body formed of thermoplastic or synthetic resin material, and a resilient spring member 42 biasing the clamping arms 24 to their closed position (Fig. 2). The body of the flexible clamp 20 includes a hinged bridging portion 44 defining an inner end of the slot 26, and the clamping arms 24. The clamping arms 24 of the clamp 20 extend outwardly (upwardly in Fig. 4) from the bridging portion 44, and terminate in free ends 46 that define the outer end of the slot 26. The free ends 46 of the clamping arms 24 are tapered inwardly toward the slot 26 and bridging portion 42 to guide the wedge 22 into the outer end of the slot 2G between the clamping arms 24.
The clamping arms 24 have inner surface portions between the inner end of the slot 26 and their free ends 46, preferably generally adjacent their free ends, that define the first (wide) position 28. And the inner end of the slot 26 may be, for example, generally adjacent the second position 30 as shown in Figs. 2-4, with a portion of the clamping arms 24 generally adjacent the bridging portion 44 defining an open area as the second (narrow) position. The slot 26 defines the longitudinal direction or axis of the clamp 20.
Abutment means, such as ledges 40 and 41 extending laterally outwardly from opposite sides of the clamp 20, may be provided on the clamp 20. The ledges 40 and 41 limit insertion of the clamp 20 into the elongate passageway 18 to a first predetermined distance, with the _8_ first and second positions 28 and 30 of the IV tubing 12 being spaced apart along the longitudinal axis of the clamp 12 a second predetermined distance substantially equal to the first predetermined distance. Tn other words, the ledges 40 and 41 are preferably spaced from the free ends 46 of the clamping legs 24 a distance substantially equal to the distance separating the first and second positions 28 and 30. And the cassette-receiving block 32 of the pumping assembly 14 includes a wall 48 substantially preventing movement of the IV tubing 20 into the passageway 18 as the clamp 20 is inserted into the passageway 18 so that the IV tubing 18 is moved from the first position 28 to the second position 30 when the clamp 20 is manually inserted in the passageway 18 the first predetermined distance.
A sensor 50 (Figs. 2 and 3) may be provided to determine when the clamp 20 is fully inserted in passageway 18, and the infusion pump 10 may include alarm circuitry responsive to the sensor 50, and may even be electrically disabled when the sensor 50 fails to indicate a fully inserted clamp 20. The sensor 50 includes a proximity switch 52 and a suitable linkage 54 for tripping the proximity switch 52 when the clamp 20 is fully inserted.
Fig. 5 illustrates a second embodiment of a flexible clamp 20A, which includes two bridging portions 56 joining the clamping arms 24A and defining opposite ends of the variable width slot 26A. The bridging portions 56 and/or clamping arms 24A are sufficiently flexible to permit the clamping arms 24A to be moved against the bias to their open position (Fig. 5) despite the addition of a second bridging portion 56. Fig. 5 also illustrates how a clamp-opening wedge 22A may be used with this alternative design. The wedge 22A would be driven into the slot 26A in the transverse direction (i.e., perpendicular to the sheet of the drawing in Fig. 5) to separate the clamping arms 24A.

-v~~~.~
_g_ Fig. 6 illustrates another embodiment of the free flow prevention system wherein a pivotable arm 58 is provided for releasably retaining the flexible clamp 20B in the passageway 18B when the clamp 20B is inserted the first predetermined distance. The pivotable arm 58 is preferably pivotably mounted on the cassette-receiving block 32B so that the arm 58 moves with the door assembly 16B. The door 34B has a pivotable projecting portion 60 spring biased to a holding position (Fig. 6) for pressing or holding the pivotable arm 58 against the clamp 20B when the door 34B is moved to a closed position. And the projecting portion 60 is movable against the spring bias by the pivotable arm 58 when the clamp 20B is partially inserted in the passageway 18B and the door 34B is closed. This ability to move against the spring bias is believed to prevent jamming of the door 34B when the clamp 20B is only partially inserted in the passageway 18B.
The operation of the free flow prevention system will be described with respect to the embodiment shown in Figs. 2-4. With the IV tubing 12 at the first (wide) position 28 in the slot 26, the clamp 20 is moved longitudinally along the tubing 12 to a position appropriate for insertion of both the tubing 12 and clamp 20 into the infusion pump 10. The IV tubing 12, including the pumping cassette, if any, and the clamp 20 axe then manually placed or inserted into the cassette-receiving block 32 and the clamp-receiving passageway 18, with the IV
tubing 12 moving to the second position 30 in the clamp°s slot 26 as the clamp 20 is inserted. The door 34 of the door assembly 16 is then closed to hold the clamp 20, cassette and IV tubing 12 in the door assembly 16, and the knob 36 is turned to pull the door assembly 16 toward the main body 38 of the pumping assembly 14. As the door assembly 16 moves toward the main body 38 of the pumping assembly 14, the wedge 22 is forced between the clamping arms 24 of the clamp 20 to move them to the open position (Fig. 3) to permit fluid flow through the IV tubing 12 during operation of the pump 10.

-lU-In order to remove the IV tubing set from the pump 10, the knob 36 is turned in the opposite direction to return the door assembly 16 to its loading and unloading position (Fig. 2), where it is spaced from the main body 38 of the pumping assembly 14. The door 34 is then opened, and the IV tubing set, including the IV tubing 12 and clamp 20, are removed from the infusion pump 20, with the the lumen of the IV tubing 12 being closed due to the clamping action of the clamping arms 24 against the tubing 12 at the second position 28. As a result, free flow through the tubing 12 is prevented during and after disconnection of the IV tubing set regardless of whether a standard roller clamp (not shown) is closed.
As various changes could be made in the above constructions without departing from the scope of the invention, it is intended that all matter contained in the above description or shown in the accompanying drawing be interpreted as illustrative and not in a limiting sense.
4:1.20

Claims (15)

1. A free flow prevention system comprising:
IV tubing having a lumen through which fluid may be pumped for administration to a patient;
a pumping assembly including pumping means for pumping fluid through the IV tubing, and releasable holding means for holding the IV tubing during operation of the pumping assembly;
a flexible clamp associated with the IV tubing and having a pair of clamping arms defining a variable width slot along which the IV tubing may be moved between a first position wherein the width of the slot is sufficient to permit the clamp to be positioned longitudinally along the IV tubing, and a second position wherein the width of the slot is normally less than the width of the slot at the first position, the clamping arms being resiliently biased to a closed position wherein the IV tubing is squeezed when in its second position to close the lumen to prevent fluid flow, the clamping arms being movable against the bias to an open position wherein the lumen of the IV tubing is allowed to open so that flow through the lumen is permitted;
clamp-receiving means on the pumping assembly for releasably receiving the flexible clamp; and releasable clamp-opening means for separating the clamping arms of the flexible clamp and moving the arms from their closed position to the open position before operation of the pumping assembly;
the clamp-receiving means and clamp-opening means being mounted on the infusion pump for movement of the clamp-opening means relative to the flexible clamp received in the clamp-receiving means between an unloading position, wherein the clamp-opening means does not hold the arms of the flexible clamp in their open position, and an operating position, wherein the clamp-opening means moves the arms of the flexible clamp to their open position and holds the arms in the open position.
2. A free flow prevention system according to claim 1 wherein the clamp-opening means includes a wedge mounted on the pumping assembly for separating the clamping arms of the flexible clamp, the wedge and the flexible clamp being movable relative to one another between the operating position, wherein at least a portion of the wedge is positioned between the clamping arms to separate and hold the arms in their open position, and the unloading position, wherein the wedge is not opening the clamping arms from their closed position so that the lumen of the IV
tubing is closed to fluid flow when the IV tubing is removed from the pumping assembly.
3. A free flow prevention system according to claim 2 wherein the clamp-receiving means is mounted or formed on the releasable holding means, and the releasable holding means is movable between a loading and unloading position, wherein the IV tubing may be loaded into or unloaded from the pumping assembly and the wedge and flexible clamp are in their unloading position, and the operating position wherein the flexible clamp is moved to the operating position relative to the wedge and the clamp and IV tubing are held for operation of the pumping assembly.
4. A free flow prevention system according to claim 2 wherein the flexible clamp has a bridging portion defining an inner end of the slot, the clamping arms of the clamp extending outwardly from the bridging portion and terminating in free ends that define the outer end of the slot, the free ends of the arms being tapered inwardly toward the slot and bridging portion to guide the wedge into the outer end of the slot between the clamping arms, the clamping arms defining a portion of the slot generally adjacent the inner end of the slot as the second position having a width normally less than the width of the slot at the first position, and the clamping arms have portions generally adjacent their free ends that define an open area generally adjacent the free ends as the first position wherein the width of the slot is sufficient to permit the clamp to move longitudinally along the IV tubing.
5. A free flow prevention system according to claim 1 wherein the clamp-receiving means comprise walls in the releasable holding means defining an elongate passageway having an open end for receiving the flexible clamp, the releasable holding means being movable between a loading and unloading position, wherein the IV tubing may be loaded into and unloaded from the pumping assembly, and an operating position, wherein the IV tubing is held for operation of the pumping assembly, the clamp-opening means being positioned in the elongate passageway such that the clamping arms are moved from their closed position to their open position when the releasable holding means is moved to the operating position, the system further comprising abutment means an the clamp for limiting insertion of the clamp into the elongate passageway to a first predetermined distance, the slot of the flexible clamp defining a longitudinal axis of the clamp, with the first and second positions of the IV tubing being spaced apart along the longitudinal axis of the clamp a second predetermined distance substantially equal to the first predetermined distance, the pumping assembly including a wall substantially preventing movement of the IV tubing into the elongate passageway as the flexible clamp is inserted into the elongate passageway so that the IV tubing is moved from the first to the second positions when the flexible clamp is inserted in the elongate passageway the first predetermined distance.
6. A free flow prevention system according to claim 5 wherein the clamp-receiving means includes a pivotable arm for releasably retaining the flexible clamp in the passageway when the clamp is inserted the first predetermined distance, the releasable holding means of the pumping assembly including a door having a pivotable projecting portion spring biased to a holding position for pressing or holding the pivotable arm against the flexible clamp when the door is moved to a closed position, the projecting portion being movable against the spring bias by the pivotable arm when the clamp is partially inserted in the passageway and the door is closed to prevent jamming of the door when the clamp is only partially inserted in the passageway.
7. A free flow prevention system according to claim 5 wherein the releasable clamp-opening means includes a wedge on the pumping assembly that separates the clamping arms of the flexible clamp when the releasable holding means of the pumping assembly is moved to its operating position such that the arms are held in their open position, the releasable holding means of the pumping assembly including a door having a projecting portion adapted for releasably retaining the flexible clamp in the elongate passageway when the clamp is inserted the first predetermined distance and the door is moved to a closed position whereby the flexible clamp is held against longitudinal movement by the projecting portion when the wedge separates the clamping arms of the flexible clamp.
8. An infusion pump for regulating fluid flow through a lumen of IV tubing to a patient and being adapted for use with a flexible clamp that prevents free flow of the fluid through the IV tubing after the tubing is disconnected from the infusion pump, the clamp having a pair of clamping arms defining a variable width slot along which the IV tubing may be moved between a first position wherein the width of the slot is sufficient to permit the clamp to be positioned longitudinally along the IV tubing, and a second position wherein the width of the slot is normally less than the width at the first position, the clamping arms being resiliently biased to a closed position wherein the IV tubing is squeezed when in the second position to close the lumen to prevent fluid flow, the clamping arms being movable against the bias to an open position wherein the lumen of the IV tubing is allowed to open so that flow through the lumen is permitted; the infusion pump comprising:

a pumping assembly including pumping means adapted for pumping fluid through the IV tubing, and releasable holding means adapted for holding the IV tubing during operation of the pumping assembly;

clamp-receiving means on the pumping assembly adapted for releasably receiving the flexible clamp; and releasable clamp-opening means adapted for separating the clamping arms of the flexible clamp and moving the arms from their closed position to the open position before operation of the infusion pump;
the clamp-receiving means and clamp-opening means being mounted on the infusion pump for movement relative to one another between an unloading position, wherein the clamp-opening means does not hold the arms of a flexible clamp received in the clamp-receiving means in their open position, and an operating position wherein the clamp-opening means moves the arms of a flexible clamp received in the clamp-receiving means to their open position and holds the arms in the open position.
9. An infusion pump according to claim 8 wherein the clamp-receiving means further comprises walls in the pumping assembly defining a passageway having an open end adapted far releasably receiving the flexible clamp, and the clamp-opening means comprises a wedge mounted on the pumping assembly, the wedge and the walls being movable relative to one another between the operating position, wherein at least a portion of the wedge is positioned between the clamping arms of a flexible clamp received in the passageway to separate and hold the arms in their open position, and the unloading position, wherein the wedge is not opening the clamping arms of a flexible clamp received in the passageway from their closed position so that the lumen of the IV tubing is closed to fluid flow when the IV
tubing is removed from the pumping assembly.
10. An infusion pump according to claim 9 wherein the walls defining the passageway comprise walls in the releasable holding means, and the releasable holding means is movable between a loading and unloading position, wherein the IV tubing may be loaded into or unloaded from the pumping assembly and the walls and flexible clamp are in their unloading position, and the operating position wherein the walls are moved to the operating position relative to the wedge so that the clamping arms of the flexible clamp are moved to their open position for operation of the pumping assembly, the clamp-receiving means including a pivotable arm for releasably retaining the flexible clamp in the passageway when the clamp is inserted the first predetermined distance, the releasable holding means of the pumping assembly including a door having a pivotable projecting portion spring biased to a holding position for pressing or holding the arm against the flexible clamp when the door is moved to a closed position, the projecting portion being movable against the spring bias by the pivotable arm when the clamp is partially inserted in the passageway and the door is closed to prevent jamming of the door when the clamp is only partially inserted in the passageway.
11. An IV tubing set adapted for use with an infusion pump comprising a pumping assembly including pumping means for pumping fluid through IV tubing to regulate fluid flow through the IV tubing, and releasable holding means for holding IV tubing during operation of the pumping assembly, clamp-receiving means on the pumping assembly for releasably receiving a clamp associated with the IV tubing, and releasable clamp-opening means for moving a clamp to an open position permitting fluid flow through the IV tubing, the clamp-receiving means and clamp-opening means being mounted on the infusion pump for movement relative to one another between an unloading position, wherein the clamp-opening means does not hold the arms of a flexible clamp received in the clamp-receiving means in their open position, and an operating position wherein the clamp-opening means moves the arms of a flexible clamp received in the clamp-receiving means to their open position and holds the arms in the open position; the IV tubing set comprising:
IV tubing having a lumen through which fluid may be pumped for administration to a patient; and a flexible clamp associated with the IV tubing and being adapted to be inserted in clamp-receiving means before operation of the infusion pump, the flexible clamp having a pair of clamping arms defining a variable width slot along which the IV tubing may be moved between a first position wherein the width of the slot is sufficient to permit the clamp to be positioned longitudinally along the IV tubing, and a second position wherein the width of the slot is normally less than the width at the first position, the clamping arms being resiliently biased to a closed position wherein the IV tubing is squeezed when in the second position to close the lumen to prevent fluid flow, the clamping arms being movable against the bias to an open position wherein the lumen of the IV tubing is allowed to open so that flow through the lumen is permitted such that the clamp-opening means of the infusion pump can move the clamping arms to the open position before operation of the infusion pump.

17a
12. An IV tubing set according to claim 11 adapted for use with an infusion pump having clamp-opening means that comprises a wedge mounted on the pumping assembly for movement relative to the clamp-receiving means between the unloading and operating positions; the clamp further comprising a hinged bridging portion defining an inner end of the slot, the clamping arms of the clamp extending outwardly from the hinged bridging portion and terminating in free ends that define the outer end of the slot, the free ends of the arms being tapered inwardly toward the slot and bridging portion to guide the wedge into the outer end of the slot between the clamping arms.
13. An IV tubing set according to claim 12 wherein the clamping arms define a portion of the slot generally adjacent the inner end of the slot as the second position having a width normally less than the width of the slot at the first position, and the clamping arms have portions generally adjacent their free ends that define an open area as the first position wherein the width of the slot is sufficient to permit the clamp to move longitudinally along the IV
tubing.
14. An IV tubing set according to claim 13 wherein the clamping arms extend in a longitudinal direction of the clamp and the slot is elongate in the longitudinal direction of the clamp, the clamp further comprising at least one laterally outwardly extending ledge for limiting the distance the flexible clamp can be inserted into the clamp-receiving means of the infusion pump to a first predetermined distance, the first and second positions being spaced apart along the slot a second predetermined distance substantially equal to the first predetermined distance.
15. An IV tubing set according to claim 14 wherein the clamping arms and bridging portion are formed of thermoplastic or synthetic resin material and a resilient spring member biasing the clamping arms to their closed position, the at least one ledge including two ledges extending laterally outwardly from opposite clamping arms at substantially the same longitudinal position along the arms, the ledges and the free ends of the clamping arms being separated by a Longitudinal distance substantially equal to the second predetermined distance that the first and second positions are spaced apart along the slot, and the IV tubing including a pumping cassette having flexible walls defining fluid pumping chambers that may be compressed by the pumping means to regulate fluid flow through the IV tubing.
4:1.21
CA002025519A 1989-10-20 1990-09-17 Free flow prevention system for infusion pump Expired - Lifetime CA2025519C (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US07/424,386 US5017192A (en) 1989-10-20 1989-10-20 Free flow prevention system for infusion pump
US424,386 1989-10-20

Publications (2)

Publication Number Publication Date
CA2025519A1 CA2025519A1 (en) 1991-04-21
CA2025519C true CA2025519C (en) 2002-11-12

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Family Applications (1)

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CA002025519A Expired - Lifetime CA2025519C (en) 1989-10-20 1990-09-17 Free flow prevention system for infusion pump

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US (1) US5017192A (en)
EP (1) EP0423978B1 (en)
JP (1) JPH03140164A (en)
AU (1) AU626460B2 (en)
CA (1) CA2025519C (en)
DE (1) DE69016347T2 (en)
HK (1) HK1006287A1 (en)

Families Citing this family (80)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0544655B1 (en) 1988-01-25 1995-10-18 Baxter International Inc. Cannula insertion member
US5964785A (en) 1988-01-25 1999-10-12 Baxter International Inc. Bayonet look cannula for pre-slit y-site
CA1330412C (en) * 1988-07-08 1994-06-28 Steven C. Jepson Pre-slit injection site and tapered cannula
IE72466B1 (en) 1989-03-17 1997-04-09 Baxter Int Blunt-ended cannula device
JPH0731789Y2 (en) * 1989-12-07 1995-07-26 川澄化学工業株式会社 Clamp
JPH0693916B2 (en) * 1990-10-31 1994-11-24 テルモ株式会社 Infusion pump
US5154704A (en) * 1990-10-31 1992-10-13 Kent Archibald G IV clamp with tube clip
CA2064134A1 (en) * 1991-04-23 1992-10-24 Gary A. Thill Free flow prevention system for infusion pump
US5776125A (en) 1991-07-30 1998-07-07 Baxter International Inc. Needleless vial access device
US5290239A (en) * 1991-09-26 1994-03-01 Baxter International, Inc. Intravenous tube safety apparatus
US5772637A (en) * 1995-06-07 1998-06-30 Deka Products Limited Partnership Intravenous-line flow-control system
US5431509A (en) * 1991-11-25 1995-07-11 Minnesota Mining And Manufacturing Company Interlocking module system
US5257978A (en) * 1992-07-14 1993-11-02 Habley Medical Technology Corporation IV safety module
US5242407A (en) * 1992-07-23 1993-09-07 Minnesota Mining And Manufacturing Company Infusion pump with improved contamination resistance
US5300034A (en) * 1992-07-29 1994-04-05 Minnesota Mining And Manufacturing Company Iv injection site for the reception of a blunt cannula
US5351383A (en) * 1992-07-29 1994-10-04 Minnesota Mining And Manufacturing Company Method of making an injection or sampling site
US5419684A (en) * 1993-06-14 1995-05-30 Minnesota Mining And Manufacturing Company Infusion pump with reversible motor and method of use
US5364364A (en) * 1993-08-04 1994-11-15 Ivac Corporation Automatic flow control valve system
US5401256A (en) * 1994-01-14 1995-03-28 Minnesota Mining And Manufacturing Company Flexible clamp for use in IV tubing set
US5562615A (en) * 1994-02-28 1996-10-08 Corpak, Inc. Free flow detector for an enternal feeding pump
US5443453A (en) * 1994-04-21 1995-08-22 Sherwood Medical Company Stop-cock valve
US5453098A (en) * 1994-05-09 1995-09-26 Imed Corporation Two step IV fluid flow stop
GB9413193D0 (en) * 1994-06-30 1994-08-24 Graseby Medical Ltd Anti-freeflow devices for medical apparatus
US5567120A (en) * 1994-10-13 1996-10-22 Sigma International Electronic infusion device and novel roller clamp holden therefor
US5584671A (en) * 1994-11-28 1996-12-17 Sherwood Medical Company Apparatus for delivering fluid to a patient
ATE229829T1 (en) * 1995-03-27 2003-01-15 Zevex Inc CRIMPING CLAMP FOR AN INFUSION DEVICE
US6749591B1 (en) 1995-03-27 2004-06-15 Zevex, Inc. Pinch clip occluder system for infusion sets
US6142979A (en) * 1995-03-27 2000-11-07 Zevex Pinch clip occluder system for infusion sets
USD379492S (en) * 1995-06-05 1997-05-27 Sherwood Medical Company Stop-cock valve
US5967484A (en) * 1995-12-21 1999-10-19 Alaris Medical Systems, Inc. Intravenous tube occluder
US5954485A (en) * 1996-08-14 1999-09-21 Sims Deltec, Inc. Free-flow protection devices and methods
US6702789B1 (en) * 1997-03-11 2004-03-09 Alcove Medical, Inc. Catheter having insertion control mechanism and anti-bunching mechanism
US6261262B1 (en) * 1997-06-12 2001-07-17 Abbott Laboratories Pump with anti-free flow feature
US6162206A (en) * 1997-12-23 2000-12-19 Baxter International Inc. Resealable access site
US6056522A (en) * 1998-05-13 2000-05-02 Sims Deltec, Inc. Reusable cassette with a moveable door
IL124457A (en) 1998-05-13 2002-07-25 Tzamal Care Medical Systems Lt Clamping system for infusion pumps, a clamp and a clamp magazine for use therewith
US6595950B1 (en) 2000-05-11 2003-07-22 Zevex, Inc. Apparatus and method for preventing free flow in an infusion line
US7150727B2 (en) 2000-05-11 2006-12-19 Zevex, Inc. Apparatus and method for preventing free flow in an infusion line
US7815612B2 (en) 2000-05-11 2010-10-19 Zevex, Inc. Apparatus and method for preventing free flow in an infusion line
US8323228B2 (en) * 2007-04-12 2012-12-04 Rex Medical L.P. Dialysis catheter
US6659976B2 (en) 2001-04-16 2003-12-09 Zevek, Inc. Feeding set adaptor
US6722865B2 (en) 2001-09-07 2004-04-20 Terumorcardiovascular Systems Corporation Universal tube clamp assembly
US6942473B2 (en) 2002-03-21 2005-09-13 Hospira, Inc. Pump and tube set thereof
US7553295B2 (en) 2002-06-17 2009-06-30 Iradimed Corporation Liquid infusion apparatus
US7267661B2 (en) 2002-06-17 2007-09-11 Iradimed Corporation Non-magnetic medical infusion device
GB0215932D0 (en) 2002-07-10 2002-08-21 Smiths Group Plc Flow preventers
US20040111103A1 (en) * 2002-12-03 2004-06-10 Nixon Margaret Marie Surgical tape tensioner
EP1466646A1 (en) * 2003-04-10 2004-10-13 Nutricia Healthcare S.A. Security device against free flow
US6840492B1 (en) * 2003-11-21 2005-01-11 Alaris Medical Systems, Inc. Slide clamp
US8961461B2 (en) 2004-05-27 2015-02-24 Baxter International Inc. Multi-state alarm system for a medical pump
US7976518B2 (en) 2005-01-13 2011-07-12 Corpak Medsystems, Inc. Tubing assembly and signal generator placement control device and method for use with catheter guidance systems
US20060264935A1 (en) * 2005-05-04 2006-11-23 White Patrick M Orthopedic stabilization device
US7611498B2 (en) * 2006-05-18 2009-11-03 Codan Holding Gmbh Arrangement for the coupling of an intravenous tube with infusion pump
US8105282B2 (en) 2007-07-13 2012-01-31 Iradimed Corporation System and method for communication with an infusion device
US8425470B2 (en) 2008-04-01 2013-04-23 Zevex, Inc. Anti-free-flow mechanism for enteral feeding pumps
CN102065931B (en) * 2008-04-01 2014-03-05 泽维克斯公司 Safety occluder and method of use
WO2009124091A1 (en) * 2008-04-01 2009-10-08 Zevex, Inc. Anti-free flow mechanism for enteral feeding pumps
US8105269B2 (en) 2008-10-24 2012-01-31 Baxter International Inc. In situ tubing measurements for infusion pumps
WO2010091313A2 (en) * 2009-02-06 2010-08-12 Zevex, Inc. Automatic safety occluder
US8137083B2 (en) 2009-03-11 2012-03-20 Baxter International Inc. Infusion pump actuators, system and method for controlling medical fluid flowrate
US8382447B2 (en) 2009-12-31 2013-02-26 Baxter International, Inc. Shuttle pump with controlled geometry
US8591450B2 (en) 2010-06-07 2013-11-26 Rex Medical L.P. Dialysis catheter
US8567235B2 (en) 2010-06-29 2013-10-29 Baxter International Inc. Tube measurement technique using linear actuator and pressure sensor
US8465464B2 (en) 2010-08-06 2013-06-18 WalkMed Infusion LLC Infusion pump and slide clamp apparatus and method
US9017297B2 (en) 2010-08-06 2015-04-28 WalkMed Infusion LLC Infusion pump and method which inhibits unintended tubing withdrawal
CA2812764C (en) 2010-10-01 2016-04-26 Zevex, Inc. Anti free-flow occluder and priming actuator pad
USD672455S1 (en) 2010-10-01 2012-12-11 Zevex, Inc. Fluid delivery cassette
EP2670474A4 (en) * 2011-02-03 2014-07-16 H Lee Moffitt Cancer Ct & Res Catheter clamps and catheters
US9028441B2 (en) 2011-09-08 2015-05-12 Corpak Medsystems, Inc. Apparatus and method used with guidance system for feeding and suctioning
US8974415B2 (en) 2012-04-10 2015-03-10 Smiths Medical Asd, Inc. Flow stop insert apparatus and methods
EP2921188B1 (en) * 2012-11-14 2018-01-31 Namiki Seimitsu Houseki Kabushiki Kaisha Tube clamp structure of tubing pump
JP5903087B2 (en) * 2013-10-24 2016-04-13 本田技研工業株式会社 Spring clip and car fender panel mounting structure
US20150133861A1 (en) 2013-11-11 2015-05-14 Kevin P. McLennan Thermal management system and method for medical devices
US9662437B2 (en) 2014-04-28 2017-05-30 Smiths Medical Asd, Inc. Infusion pump pressure plate
US10143795B2 (en) 2014-08-18 2018-12-04 Icu Medical, Inc. Intravenous pole integrated power, control, and communication system and method for an infusion pump
WO2016189419A1 (en) 2015-05-26 2016-12-01 Hospira, Nc. Disposable infusion fluid delivery device for programmable large volume drug delivery
US10167861B2 (en) * 2016-05-26 2019-01-01 Namiki Precision Singapore Pte. Ltd. Infusion pump
US11268506B2 (en) 2017-12-22 2022-03-08 Iradimed Corporation Fluid pumps for use in MRI environment
USD939079S1 (en) 2019-08-22 2021-12-21 Icu Medical, Inc. Infusion pump
US11202859B2 (en) * 2019-11-20 2021-12-21 B Braun Medical Inc. Cassette with free flow prevention for infusion pump

Family Cites Families (20)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2715905A (en) * 1953-11-16 1955-08-23 Robert W Ogle Intravenous injection set
US2889848A (en) * 1955-12-22 1959-06-09 Redmer Sons Company Flow control clamp
FR1213861A (en) * 1958-10-31 1960-04-05 Advanced clamp, especially for infusion, transfusion or injection devices
US3216418A (en) * 1962-06-01 1965-11-09 Abbott Lab Apparatus for administering parenteral solutions
US3316935A (en) * 1964-06-24 1967-05-02 Abbott Lab Flow control clamp
US3759483A (en) * 1971-05-14 1973-09-18 T Baxter Fluid actuated control valve
US4261388A (en) * 1978-05-19 1981-04-14 Frenshore Ltd. Drop rate controller
US4230151A (en) * 1979-01-24 1980-10-28 Jonsson Ulf R S Pinch valve
US4236880A (en) * 1979-03-09 1980-12-02 Archibald Development Labs, Inc. Nonpulsating IV pump and disposable pump chamber
US4322201A (en) * 1979-03-09 1982-03-30 Avi, Inc. IV Pump with back pressure control
US4277226A (en) * 1979-03-09 1981-07-07 Avi, Inc. IV Pump with empty supply reservoir and occlusion detector
US4460358A (en) * 1980-11-07 1984-07-17 Ivac Corporation Combined load and latch mechanism for fluid flow control apparatus
US4519792A (en) * 1982-12-06 1985-05-28 Abbott Laboratories Infusion pump system
US4434963A (en) * 1982-12-22 1984-03-06 Baxter Travenol Laboratories, Inc. Slide clamp including elevation stabilizer
US4527588A (en) * 1983-12-14 1985-07-09 Warner-Lambert Company Safety valve
SE8400223L (en) * 1984-01-18 1985-07-19 Mediplast Ab DEVICE FOR FLOOD SPEED CONTROL IN A HOSE
US4585441A (en) * 1984-09-17 1986-04-29 Minnesota Mining And Manufacturing Company IV fluid control system with fluid runaway prevention
US4586691A (en) * 1985-05-13 1986-05-06 Warner-Lambert Company Safety slide clamp
US4689043A (en) * 1986-03-19 1987-08-25 Imed Corporation IV tube activator
US4818190A (en) * 1987-12-01 1989-04-04 Pacesetter Infusion, Ltd. Cassette loading and latching apparatus for a medication infusion system

Also Published As

Publication number Publication date
AU626460B2 (en) 1992-07-30
JPH03140164A (en) 1991-06-14
EP0423978A2 (en) 1991-04-24
HK1006287A1 (en) 1999-02-19
CA2025519A1 (en) 1991-04-21
DE69016347T2 (en) 1995-08-10
EP0423978B1 (en) 1995-01-25
AU6303390A (en) 1991-04-26
DE69016347D1 (en) 1995-03-09
US5017192A (en) 1991-05-21
EP0423978A3 (en) 1991-11-21

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